Evidence map›Paper›PMID 30223759›Full record

ArticlePublic health reports (Washington, D.C. : 1974)2018

Sociodemographic Factors Associated With Engagement in Diabetes Self-management Education Among People With Diabetes in the United States.

Eric Adjei Boakye, Amanda Varble, Rebecca Rojek, Olivia Peavler, Anna K Trainer, Nosayaba Osazuwa-Peters, Leslie Hinyard

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05958602 (Improving Recruitment and Retention for Diabetes Self-Management Education and Support by Bridging Clinical-Community Linkages and Supplemental Diabetes Education Technology), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05958602 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Improving Recruitment and Retention for Diabetes Self-Management Education and Support by Bridging Clinical-Community Linkages and Supplemental Diabetes Education Technology: A Socio-Ecological Approach

TypeinterventionalSponsorMedsPLUS ConsultingRan2024 to 2025Enrolled30ConditionsDiabetes, Diabetes Mellitus, Type 2ArmsTechnology, Standard DSMES Only, Traditional Recruitment Methods, CHW-Led Recruitment Methods
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  7. The Patient Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC): testing for bias across patient characteristics and languages.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  17. Interstitial Lung Disease and Sarcoidosis.Clinics in chest medicine · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Eric Adjei Boakye1 Saint Louis University Center for Health Outcomes Research, Saint Louis, MO, USA.
Amanda Varble2 Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA.
Rebecca Rojek2 Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA.
Olivia Peavler3 Department of Health Management and Policy, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA.
Anna K Trainer2 Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA.
Nosayaba Osazuwa-Peters2 Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA.
Leslie Hinyard1 Saint Louis University Center for Health Outcomes Research, Saint Louis, MO, USA.
Saint Louis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveResearch outside the United States shows that certain subgroups of patients (eg, those who are older, male, of low socioeconomic status, and uninsured) are less likely than others to report receiving diabetes self-management education (DSME); however, less is known about DSME uptake in the United States. We examined sociodemographic, patient, and behavioral characteristics associated with DSME in a nationally representative sample.

methodsWe analyzed data from the 2011-2013 Behavioral Risk Factor Surveillance System for 84 179 adults who self-identified receiving a diagnosis of diabetes. We constructed weighted, multivariate logistic regression models to examine the associations between DSME and sociodemographic characteristics (age, sex, race/ethnicity, marital status, education, and annual household income), patient characteristics (body mass index, having a regular provider, health insurance status, health status, and insulin use), and self-management behaviors (home foot examination, home blood glucose testing, and physical activity).

resultsMore than half (n = 45 557, 53.7% [weighted]) of respondents reported engaging in DSME. Compared with non-Hispanic white adults, non-Hispanic black adults were more likely to engage in DSME (adjusted odds ratio [aOR] = 1.17; 95% confidence interval [CI], 1.07-1.29). Respondents were less likely to engage in DSME if they were male (aOR = 0.85; 95% CI, 0.80-0.91) or Hispanic (aOR = 0.81; 95% CI, 0.71-0.92), were a high school graduate (but no college; aOR = 0.71; 95% CI, 0.66-0.78) or less than a high school graduate (aOR = 0.51; 95% CI, 0.45-0.59), had an annual household income of $15 000-$24 999 (aOR = 0.81; 95% CI, 0.73-0.89) or <$15 000 (aOR = 0.70; 95% CI, 0.62-0.78), or had no health insurance (aOR = 0.87; 95% CI, 0.76-0.98). DSME was significantly associated with all 3 self-management behaviors.

conclusionsIncreasing public health interventions aimed at educating people with diabetes about self-management could improve outcomes.

Indexed as

AdolescentAdultAgedAge FactorsBehavioral Risk Factor Surveillance SystemDiabetes MellitusEducational StatusFemaleHumansIncomeLogistic ModelsMaleMarital StatusMiddle AgedPatient Education as TopicRacial Groupsdemographicsdiabetes educationdiabetes self-managementsocioeconomic statustype 2 diabetes

Identifiers

PMID30223759
PMCPMC6225878
OpenAlexW2890475346

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.